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Hi I'm David Himmelfarb managing partner Himmelfarb Polanski, and today I've been asked to put together a presentation for you all, and it's in relation to a guide to provide you with knowledge practical knowledge on claims appeals and the electing out process that the is at the WS IV there's a few objectives that we have today to increase your practical knowledge of WS IV claims the appeals in the electing out obviously to ensure that patients receive care and compensation that they rightly deserve and a challenge each one of you in this room to think about someone that you know who can benefit from this presentation so first and foremost what is the which is known as the previously known as the workers' compensation board well the workers' compensation board it oversees employment safety education and training provides compensation and benefits to eligible claimants that are injured on the job and provides an exclusive adjudication system for all claims in an appeal process for both workers and employers the system itself has been set up since about the 1920s when we went into a no-fault system of compensation for any accidents that occurred in the workplace and in exchange for the right to sue any worker who is involved in an accident regardless of fault is entitled to workers compensation benefits who are eligible for benefits first you actually have to be covered by the Act in order to be eligible for benefits, so you must suffer an injury, and it is a work-related accident in order for you to be covered by the act the legislation that applies is the workplace safety and Insurance Act and section 131 of the Act sets out that a worker who sustains a personal injury by an accident arising out of or in the course of his or her employment is entitled to benefits under the insurance plan there are two types of workers under the legislation there they've they've divided workers up into two schedules schedule one and schedule to schedule one are basically all types of industries divided into nine subclasses these are all types of industries that we know of manufacturing transportation etc a schedule 2 these are injuries which are self-insured, so that means that they actually pay out the claim themselves, and they're generally governmental in nature, and we'll get into the distinction between the two schedules shortly so in terms of schedule 1 we've got Forest Products mining and related industries other primary industries manufacturing transportation and storage retail and wholesale trades construction government related services and other services schedule 2 railways telephone companies Telegraph companies navigation companies international bridges provincial governments Airlines municipalities public library boards police villages and school boards so if you're under either of those schedules if you work as a worker under an industry covered under schedule 1 or...
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